According to the National Institute on Drug Abuse, over 100 people die of opioid abuse every day. For the past decade, but much more so in the past two years, United States media has promoted the fact that the United States is suffering an opioid epidemic. Doctors are being pressured to reduce opiod prescriptions and unless you are in hospice or palliative care, one can be hard pressed to find a doctor to prescribe them. What if there was a better option?

"Three states — Montana, New Mexico, and Vermont — have approved medical marijuana specifically for those under hospice care. Several other states will consider allowing hospice care patients access to medical marijuana, provided its recommended by a physician. These states include California, Connecticut, Massachusetts, Nevada, Oregon, Rhode Island and Washington." - https://www.medicalmarijuanainc.com/hospice-care-medical-marijuana-research-overview/" target="_blank">Hospice Care - Medical Marijuana Research Overview, Medical Marijuana, Inc., March 10, 2017. According to this research overview, MMJ may help reduce muscle spasticity, nausea, pain, and induce better quality sleep. Where medical marijuana is not yet legal, thankfully CBD is. Simply put, CBD is the oil produced from the hemp plant, minus the mind-altering THC component. For a more medical description and potential benefits of CBD, check out the article Everything You Need to Know About CBD Oil, at www.medicalnewstoday.com.

The anecdotal stories from MMJ users sing praises of its ability to reduce nausea and vomiting, improve appetite, reduce pain, induce a more restful sleep, and alleviate anxiety. In a time where natural alternatives to opioids would be greatly welcomed, more honest data needs to be made available to doctors, caregivers and clients on the potential of MMJ to relieve symptoms. I believe it is time to dissolve the social phobia so many have about medical marijuana and look at the potential benefits from an honest and unbiased point of view. Education is needed, without the spin of government agencies or Big Pharma, and without social bias based on race, background and socioeconomic status, so that people can understand their options and choose from a place of trustworthy knowledge. Unfortunately, we still have a long way to go.

According to ProCon.org, only 30 states plus Washington, DC legally allow the use of medical marijuana. However, the Federal Drug Enforcement Administrations does not recognize marijuana as a valid medical treatment option, so even in states with legal MMJ, what are the potential legal ramifications for making it available for palliative or hospice patients? The medical industry is only beginning to learn how to navigate these waters.

In hospice we aim to help people live their best, most comfortable and meaningful lives as they approach the end-of-life transition. For decades, opioids have helped thousands manage through chronic and terminal conditions. Now, with opioids under scrutiny, pure CBD and MMJ products, where state legal, may become products of choice. I challenge us to expand our traditional views and consider the palliative and end-of-life experience might improve with access to these natural sources of symptom relief. While we wait, state-by-state, for the right to use these products, I encourage you to check out the current research and make an educated decision for yourself. #1gentleheart

I would not dream of trading my line of work for any other, and I have yet to meet a colleague who's heart is not fully engaged with their work. Supporting families through this most difficult time of transition can be challenging but we do it with courage, strength and a loving heart. People often tell me that it takes a special kind of person to work in this field, yet I feel it is a calling, no different than those called to create art or prepare meals! Each vocation has it's challenges and opportunities for growth. I have noticed that physical and emotional exhaustion can exact a toll on us all, that we are quick to give the best of ourselves to others but just a fraction of that to ourselves. The pace with which we meet the world - the depth of our involvement in our family schedules, work, and play leaves little time to practice restorative self-care. Without proper self-care we become more prone to illness, injury and even depression. No matter what line of work you enjoy, be sure to take time to process your emotions, rest, and practice restorative exercises to maintain your body, mind and spirit balance. Utilize the supportive resources in your community, wellness coaches, grief counseling, time spent with a good friend. Take that nap if you are tired and don't beat yourself up about it. Take time to meditate, use Healing Touch, Reiki, or other healing modalities on yourself. Schedule a massage on a regular basis. Exercise, practice deep breathing, paint or do something creative...it doesn't have to be perfect. Give yourself permission to slow down, and give yourself the kind of love and care you are so quick to share with others. YOU are just as special as they are! You are valuable and important, so please fill your own cup. You are a blessing and the world needs you!